Approximately 50% of the patients we intend to recruit are likely to be Latino/Hispanic; based on our previous experience, most of these Latino/Hispanic participants will prefer to speak, write, and answer questions in Spanish. All of the instruments proposed are available in Spanish. To a large extent, the CALM-D intervention developed for the present project is based on both the DPP and ENRICHD protocols. We recognize, of course, that language and ethnicity are not the same. However, there is a great deal of diversity among Latino/Hispanics in the patient sample we have enrolled from the Jackson Health Care System including Cubans, Colombians, Puerto Ricans, Nicaraguans, Dominicans, Mexicans, Peruvians and Guatamalans among others.